Office-Based Management of Perinatal Substance Use and Substance Use Disorder for the General Obstetrician-Gynecologist

Theresa Kurtz; Marcela C Smid

doi:10.1016/j.ogc.2023.03.010

Office-Based Management of Perinatal Substance Use and Substance Use Disorder for the General Obstetrician-Gynecologist

Obstet Gynecol Clin North Am. 2023 Sep;50(3):609-627. doi: 10.1016/j.ogc.2023.03.010. Epub 2023 May 8.

Authors

Theresa Kurtz¹, Marcela C Smid²

Affiliations

¹ Department of Obstetrics and Gynecology, University of Utah Health, 30 North 1900 East #2B200 SOM, Salt Lake City, UT 84132, USA. Electronic address: [email protected].
² Department of Obstetrics and Gynecology, University of Utah Health, 30 North 1900 East #2B200 SOM, Salt Lake City, UT 84132, USA.

PMID: 37500220
DOI: 10.1016/j.ogc.2023.03.010

Abstract

This is a review of substance use and substance use disorder in pregnancy, intended for the generalist obstetrician-gynecologist. Herein, the authors discuss legal considerations, outline definitions, review screening tools, introduce special considerations and harm reduction, caution the use of urinary toxicology testing, and touch on the screening, brief intervention, and referral to treatment model. Furthermore, the authors provide a brief overview of the prevalence, maternal and neonatal risks, and treatment approaches for commonly used substances.

Keywords: Addiction; Pregnancy; Substance use; Substance use disorder.

Publication types

Review

MeSH terms

Female
Gynecologists*
Humans
Infant, Newborn
Obstetricians
Pregnancy
Referral and Consultation
Substance-Related Disorders* / diagnosis
Substance-Related Disorders* / therapy